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Individual

LANE DOUBENMIER MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
8801 E 63RD ST, SUITE 104, RAYTOWN, MO 64133-4875
(816) 368-2000
(816) 533-6873
Mailing address
200 MAIN ST, APT. 211, KANSAS CITY, MO 64105-1277
(816) 604-8598

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003032247
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497196303
MO
Enumeration date
12/16/2005
Last updated
05/08/2015
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